0870T Medicaid reimbursement rate by state (2026)
Outpatient hospital services (fee schedule). Medicaid pays a median of $23,256.72 for 0870T across 5 states, from $492.27 in South Dakota to $45,000.50 in Connecticut.
- States publishing
- 5
- National median
- $23,256.72units vary by state
- Lowest
- $492.27South Dakota
- Highest
- $45,000.50Connecticut
What does Medicaid pay for 0870T?
5 state Medicaid programs publish a fee-for-service rate for 0870T. The national median is $23,256.72 (units differ between states). Connecticut pays the most, $45,000.50, and South Dakota the least, $492.27, a 91.4x spread.
0870T rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 5 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for 0870T?
It depends on the state. Of the 5 states with a published fee-for-service rate, the median is $23,256.72. Connecticut pays the most ($45,000.50) and South Dakota the least ($492.27).
Which state pays the highest Medicaid rate for 0870T?
Connecticut, at $45,000.50, effective 2026-07-01.
Do managed-care plans pay the same rate for 0870T?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.